A1 Journal article (refereed)
Enhanced rehabilitation guidance after arthroscopic capsulolabral repair of the shoulder : a randomized controlled trial (2020)


Multanen, Juhani; Kiuru, Pauli; Piitulainen, Kirsi; Ylinen, Jari; Paloneva, Juha; Häkkinen, Arja (2020). Enhanced rehabilitation guidance after arthroscopic capsulolabral repair of the shoulder : a randomized controlled trial. Clinical Rehabilitation, 34 (7), 890-900. DOI: 10.1177/0269215520919472


JYU authors or editors


Publication details

All authors or editors: Multanen, Juhani; Kiuru, Pauli; Piitulainen, Kirsi; Ylinen, Jari; Paloneva, Juha; Häkkinen, Arja

Journal or series: Clinical Rehabilitation

ISSN: 0269-2155

eISSN: 1477-0873

Publication year: 2020

Volume: 34

Issue number: 7

Pages range: 890-900

Publisher: Sage Publications

Publication country: United Kingdom

Publication language: English

DOI: https://doi.org/10.1177/0269215520919472

Open Access: Open access publication published in a hybrid channel

Publication channel open access:

Publication open access:

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/74573


Abstract

Objective: To compare the effects of a 12-month home-based exercise program to usual care in patients
after arthroscopic capsulolabral repair of the shoulder.
Design: Randomized controlled trial.
Setting: Outpatient physical and rehabilitation medicine clinic.
Subjects: Forty-five patients (mean age: 35 years; standard deviation (SD): 10 years) who underwent
arthroscopic capsulolabral repair due to labral lesion were randomized into an exercise group (EG) or a
control group (CG).
Intervention: The EG received a 12-month home-based additional exercise program with four
physiotherapy follow-up visits, while the CG received standard postoperative exercise instructions.
Main measures: Self-reported shoulder disability was assessed with the American Shoulder and Elbow
Surgeons Standardized Shoulder Assessment Form (ASES) and quality of life with the Short-Form (SF)-36
Health Survey. The function of the operated shoulder was evaluated with strength and range of motion
measurements.
Results: No between-group differences were observed in any of the outcomes at the follow-up. Mean
ASES score improved by 16 (95% confidence interval (CI): 10–23) points from the baseline 78 (SD: 17)
in the EG and 13 (95% CI: 7–19) points from the baseline 79 (SD: 17) in the CG. Both groups achieved
a significant improvement in the dimensions of Physical Functioning, Role-Physical, and Bodily Pain of
the SF-36 and in every aspect of strength and range of motion measures. In EG, exercise adherence was
moderate (52%) during the first six months and poor (22%) during the last six months.
Conclusion: Home-based additional exercises with four outpatient follow-up visits did not improve
outcome after arthroscopic capsular repair of the shoulder.


Keywords: physiotherapy; exercise therapy; medical rehabilitation; surgical treatment; shoulders; follow-up study

Free keywords: shoulder operation; shoulder instability; shoulder exercise; long-term follow-up; American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form


Contributing organizations


Ministry reporting: Yes

Preliminary JUFO rating: 2


Last updated on 2021-10-03 at 11:18